OUR SYMPOSIUM

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XIII° Symposium

Communications

Evolution of imaging capacities in the management of scoliosis.

Jean Dubousset (Paris, France)

Denis Ducreux (Le Kremlin Bicêtre, France) - Not Available

Tumours

1) Pre-operative assessment. Surgical planning

Surgeons point of view. When to ask for a pre-operative vascular evaluation? What are its goals? What to look for?

What is the timing of the different investigations? What are the reliable investigation procedures?

Alessandro Gasbarrini (Bologna, Italy)

Norio Kawahara (Kanazawa, Japan) - Not Available

2) MRI gadolinium enhancement and traditional angiography versus angio-MRI in tumour assessment (recurrence of tumour is not to be addressed in this session)

Radiologist point of view. Pre-operative evaluation of tumour extension, cord vascularisation, embolisation, recurrence.

Normal images, pathological findings, patient’s tolerance to injections of massive amounts of iodine. Validity of gadolinium enhancement in the evaluation of tumour vascularisation.

Luigi Simonetti (Bologna, Italy)

3) Assessment of post-operative evolution. (systematic assessment - local recurrence)

Surgeons point of view. Post-operative mechanical evolution, quality of reconstruction, assessment of tumour recurrence.

What tools? What are the best investigations and timing?

J. Panayiotis Papagelopoulos (Athens, Greece)

Robert Melcher (Karlsbad, Germany) - Not Available

Radiologist point of view. Post-operative evolution, tumour recurrence, post-radiotherapy changes

Thomas Welk (Karlsbad, Germany) - Not Available

Thoracic chordoma with epidural extension A case report of total en bloc spondylectomy

Kawahara N.*, Tomita K., Murakami H., Demura S. (Kanazawa, Japan) - Not Available

The radiologist as a co-culprit in the Failed Back Surgery Syndrome.

Randy Jinkins (Melville, USA)

Diagnosis of Spine Tumour and Infection by Imaging.

Katsuro Tomita (Kanazawa, Japan)

One-stage Total Sacrectomy and Spinopelvic Reconstruction for Sacral Chordoma

Mavrogenis A.*, Sakellariou V., Mastorakos D., Patapis P., Papadopoulos E., Papagelopoulos P. (Athens,Greece)

TRAUMA

1) Emergency ward, polytrauma management. Neurological and nonneurological patient

a. Surgeons point of view. Indications and timing of the different methods of investigation. What tools? What are the best investigations? Associated injuries to soft tissues: how to investigate them?
Associated fractures: adjacent/non-adjacent lesions of the spine.

Richard Emery (Townsville, Australia)

b. Radiologists point of view. Indications and timing of the different means of investigation. What tools, what are the best investigations? Soft tissue associated injuries: how to investigate them? Associated fractures: adjacent/non adjacent lesions of the spine.

Jean-Claude Dosch (Illkirch, France)

2) Upper cervical spine injuries. Assessment of C1-C2 instability

a. Radiologists point of view. Normal and pathological findings. Xrays, CT, MRI.

Jean-Claude Dosch (Illkirch, France)

b. Surgeons point of view. What are the criteria for antero-posterior and rotational instability?

Carlos Villas (Pamplona, Spain)

Open reduction of atlanto axial rotatory disclocation by the far lateral approach

Crockard A.*, Hayward R., Crossman J., Thompson D. (London, United Kingdom)

3) Assessment of vertebral artery injury in trauma (emergency/delayed management)

a. Radiologists point of view

Normal and pathological findings, CT, MRI, angiography, angio-CT, angio-MRI.

Thomas Welk (Karlsbad, Germany) - Not Available

b. Surgeons point of view

Injury to the vertebral artery.

Robert Melcher (Karlsbad, Germany) - Not Available

Post-traumatic vertebrobasilar insufficiency - Ongoing concerns in 2009.

Pierre Kehr (Strasbourg, France)

Unilateral thrombotic vertebral artery occlusion secondary to unilateral facet interlocking in the lower cervical spine - Embolic spread and fatal outcome

Sim E.*, Berzlanovich A. (Vienna, Austria) - Not Available

Scoliosis with Chiari malformation and large syringomyelia

Tanaka M.* (Okayama, Japan)

Showa Ika Award

Masatoshi Sumi (Kobe, Japan) - Not Available

Pre-operative assessment. Treatment indications, surgical planning.

a. Surgeons point of view

What to do? What to look for? What investigations to recommend?
Explain the timing of each investigation. What do they demonstrate?
Assessment of arm pain.

Denis Kaech (Chur, Switzerland)

Assessment of walking disorders in cervical myelopathy.

Brian Ashman (Deakin, Australia) - Not Available

b. Radiologists point of view. Normal and pathological findings. Relevance of this investigation.
MRI and CT. Is there still a place for cervical myelography?

Thomas Welk (Karlsbad, Germany) - Not Available

Validity and relevance of Functional MRI.

Jean-Pierre Elsig (Zürich, Switzerland) - Not Available

What to do in case of spinal tumour of unknown origin with progressive neurology?

Martín Benlloch A.*, Muñoz Donat S., Valverde Belda D. (Valencia, Spain)

Interventional Radiology

State of the art in 2009.

Afshin Gangi (Strasbourg, France)

Lumbar Total Disc Replacement (TDR)

Assessment of vascular anatomy, bone density in the pre-operative planning of a TDR or anterior procedure or in case of revision

a. Surgeons point of view

Radiological approach to motion of vertebral segments using total disc prosthesis with mobile-core and fixed-core design

Jean Delécrin (Nantes, France) - Not Available

What to look for? What are the structures at risk? Are specific investigations necessary?

Jean-Paul Steib (Strasbourg, France)

b. Radiologists point of view

Pre-operative and post-operative assessment of patient’s vascular condition and anatomy. Validity of angio-MRI vs. conventional angiography. Other means of

investigation.

Luigi Simonetti (Bologna, Italy)

Early and late complication in TDR Charithé. An anterior revision surgery after 7 years.

Bassani R.* (Pavia, Italy)

A rare and little known complication of anterior lumbar surgery

Schizas C.*, Foko'o N., Matter M., Romy S., Munting E. (Lausanne, Ottignies, Switzerland, Belgium)

ArgoSpine Thesis Award

Sabina Champain (Paris , France)

Interactive case discussion

Giant Cell Tumour of the Lumbar Spine

Athanassacopoulos M.*, Liantis P., Korres D., Pneumaticos S. (Athens, Greece)

Degenerative lumbar spine (part one)

Pre-operative assessment. Treatment indications, surgical planning.

a. Surgeons point of view. What to do? What to look for? What investigations to recommend? Explain the timing of each investigation. What do they demonstrate? Assessment of leg pain

Kazuhiro Hasegawa (Niigata, Japan)

Richard Emery (Townsville, Australia)

Assessment of lumbar pain.

Denis Kaech (Chur, Switzerland)

Assessment of imbalance.

Jean-Paul Steib (Strasbourg, France)

Assessment of walking limitation.

Yoichi Shimada (Akita, Japan) - Not Available

b. Radiologists point of view. Normal and pathological findings.

Relevance of this investigation.

Validity and relevance of discography.

Afshin Gangi (Strasbourg, France)- Not Available

Validity and relevance of myelography.

Afshin Gangi (Strasbourg, France) - Not Available

Validity and relevance of Functional MRI.

Jean-Pierre Elsig (Zürich, Switzerland) - Not Available

Interactive case discussion Brucellar vs Tuberculous Spondylodiscitis: Radiologic and Clinical Differences

Zileli M.* (Izmir, Turkey)

Histopathological findings. Decision-making in tumour resection.

Contribution of Prof. Mario Campanacci.

Alessandro Gasbarini (Bologna, Italy)

Degenerative lumbar spine (part two)

Post-operative assessment

a. Surgeons point of view. What to do? What to look for? What investigations to recommend? Explain the timing of each investigation. What do they demonstrate?

Assessment of recurrent leg pain.